Interventional and Diagnostic Radiology of South Arkansas, P.a.

NPI #1548599988 in El Dorado, Arkansas

Provider Information

NPI Number: 1548599988
Entity Type: Organization
Organization Name: Interventional and Diagnostic Radiology of South Arkansas, P.a.
Primary Specialty: Specialist
Enumeration Date: Dec 14, 2009
Last Updated: Dec 14, 2009

Practice Location

Address: 700 W GROVE ST
City: El Dorado
State: Arkansas
ZIP Code: 71730-4416
Phone: (870) 862-1577

Authorized Official

Name: MRS. BRENDA WILSON
Title: BUSINESS MANAGER
Phone: (870) 862-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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